A study of alexithymia in schizophrenia and some somatic diseases

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Objective. To study alexithymia in schizophrenia and some somatic diseases. Material and methods. The study included 60 patients with paranoid schizophrenia (ICD-10 F20.0), 55 hypertensive patients with primary heart disease (I11), 53 patients with chronic ischemic heart disease (I25) and 51 patients with insulin-dependent diabetes mellitus (E10). To assess the manifestations of alexithymia, the Toronto alexithymia scale (TAS-26) was used. The Positive and negative syndrome scale (PANSS) was administered to patients with schizophrenia. Results. The average scores on TAS were higher in patients with schizophrenia compared to patients with somatic diseases (109,73 and 81,66, respectively). During the analysis of responses to TAS statements, features of a general and particular nature were identified. Conclusions. Alexithymia is not a property characteristic of psychosomatic diseases and neurotic disorders, and is detected in schizophrenic patients and patients with somatic diseases. The relationship of alexithymia with negative symptoms of schizophrenia suggests that it might impact on interpersonal relations, social adaptation and development of autistic symptoms in patients.

Keywords:

alexithymia

schizophrenia

somatic diseases

Authors:

Kafarov T.A.

Aliyev Azerbaijan State Institute of Postgraduate Medical Education, Baku, Azerbaijan Republic

Aliev N.A.

Sklifosovsky Research Institute for Emergency Medicine of Moscow Healthcare Department, Moscow, Russia

Aliev Z.N.

List of references:

Todarello O, Porcelli P, Grilletti F, & Bellomo A. Is alexithymia related to negative symptoms in schizophrenia? Psychopathology. 2005;38:310-314. https://doi.org/10.1159/000088919
Taylor GJ, Ryan DP, Bagby RM. Toward the development of a new self-report alexithymia scale. Psychotherapy and Psychosomatics. 1985;44:191-199. https://doi.org/10.1177/070674379003500402
Sung hwa Son, Hyunyoung Jo,Hyo Deog Rim, Ju Hee Kim, Hea Won Kim,Geum Ye Bae,and Seung Jae Lee. A Comparative Study on Alexithymia in Depressive, Somatoform, Anxiety, and Psychotic Disorders among Koreans. Psychiatry Investig. 2012;9(4):325-331. https://doi.org/10.4306/pi.2012.9.4.325
Sifneos P. Short-term psychotherapy and emotional crisis. Cambridge, MA: Harvard University Press, 1972. ISBN-10: 0674807200; ISBN-13: 978-0674807204
Marty P, de M’Uzan M. La pensee operatoire. Revue française de Psychanalyse. 1963;27:345.
Pirlot G. Alexithymie et pensée opératoire.Dans Hermès, La Revue. 2014;1:73-81.
Denis P. Alexithymie, pensee operatoire et l’economie de l’affect. Revue Française De Psychanalyse. 2019;3:1-5.
Freiberger H. Supportive Psychotherapeutic Techniques in Primary and Secondary Alexithymia. Psychotherapy and Psychosomatics. 1977;20:337-342.
Trunov DG. Vidy i mekhanizmy funktsional’noy aleksitimii. Vestnik Permskogo universiteta. 2010;2(2):93-99. (In Russ.).
Kleinberg J. Working with the alexithymic patient in groups. Psychoanalysis and Psychotherapy. 1966;13(1):1:76-84.
Brel’ EYu. Problema izucheniya aleksitimii v psikhologicheskikh issledovaniyakh. Vestnik KemGU. 2012;3(51):175. (In Russ.).
Cedro A, Kokoszka A, Popiel A, Narkiewicz-Jodko W. Alexithymia in schizophrenia: an exploratory study. Psychological Reports. 2001;89:95-98. PMID: 11729558 https://doi.org/10.2466/pr0.2001.89.1.95
Serper M, Berenbaum H. The relation between emotional awareness and hallucinations and delusions in acute psychiatric inpatients. Schizophrenia Research. 2008;101:195-200. PMID: 18276119 https://doi.org/10.1016/j.schres.2008.01.012
Stanghellini G, Ricca V. Alexithymia and schizophrenias. Psychopathology. 1995;28:263-272, Illness 26-45. New York: Cambridge University Press. https://doi.org/10.1159/000284937
Li W, Cheng Y, Zhan L, Li L. A comparative study on alexithymia characteristics among three kinds of main hospitalized mental disorders. Chinese Journal of Clinical Psychology. 2009;17(2):171-172. [CateGory Index]:R277.7 20
Spitzer C, Vogel M, Barrow S, Freyburger HJ, Grab HJ. Psychopathology and alexithymia in severe mental illness: the impact of trauma and posttraumatic stress symptoms. European Archives of Psychiatry and Clinical Neuroscience. 2007;257:191-196. https://doi.org/10.1007/s00406-006-0669-z
Maggini,C, Raballo A. Self-centrality, basic symptoms model and psychopathology in schizophrenia. Psychopathology. 2004;37:69-75. PMID:15057030 https://doi.org/10.1159/000077581
Van der Meer L, Van‘t Wout M, Aleman A. Emotion regulation strategies in patients with schizophrenia. Psychiatry Research. 2009;170:108-113. PMID: 19906439 https://doi.org/10.1016/j.psychres.2009.07.010
Lysaker PH, Dimaggio G, Buck KD, Carcione A, Nicolo G. Metacognition within narratives of schizophrenia: associations with multiple domains of neurocognition. Schizophrenia Research. 2007;93:278-287. https://doi.org/10.1093/schbul/sbu038
Kritskaya VP, Meleshko TK, Polyakov YuF. Patologiya psikhicheskoy deyatel’nosti pri shizofrenii: motivatsiya, obshcheniye, poznaniye. M.: Izd-vo MGU, 1991. (In Russ.).
Kurek NS. Defitsit psikhicheskoy aktivnosti: Passivnost’ lichnosti i bolezn’. M.: IP RAN, 1996 (In Russ.).
Kohler CG, Turner TH, Bilker WB, Brensinger CM, Siegel SJ, Kanes SJ, Gur RE, Gur RC. Facial Emotion Recognition in Schizophrenia: Intensity Effects and Error Pattern. Am. J. Psychiatry. 2003;160:1768-1774. PMID:14514489 https://doi.org/10.1176/appi.ajp.160.10.1768
Nkam I, Langlois-Thery S, Dollfus S, Petit M. Alexithymia in negative symptom and non- negative symptom schizophrenia. Encephale. 1997;23(5):358-363. https://doi.org/10.1159/000088919
Henry JD, Bailey PE, von Hippel C, Rendell PG, Lane A. Alexithymia in schizophrenia. J Clin Exp Neuropsychol. 2010 Oct;32(8):890-897. https://doi.org/10.1080/13803391003596462
Divilbiss M. The impact of alexithymia on empathic ability in schizophrenia. A dissertation submitted to Kent State University in partial fulfillment of the requirements for the degree of Doctor of Philosophy by Marielle Divilbiss August 2013. Permalink: http://rave.ohiolink.edu/etdc/view?acc_num=kent1318807285
Van’t Wout M, Aleman A, Bermond B, Kahn RS. No words for feelings: alexithymia in schizophrenia patients and first-degree relatives. Compr Psychiatry. 2007 Jan-Feb;48(1):27-33. PMID:17145278 https://doi.org/10.1016/j.comppsych.2006.07.003
Moskacheva MA, Kholmogorova AB, Garanyan NG. Aleksitimiya i sposobnost’ k empatii. Konsul’tativnaya psikhologiya i psikhoterapiya. 2014;4:98-114. (In Russ.).
Blanchard JJ, Horan WP, Brown SA. Diagnostic differences in social anhedonia: A longitudinal study of schizophrenia and major depressive disorder. J. Abnorm. Psychol. 2001;110:3:363-371. PMID: 11502079
Rychkova OV. Emotsional’nyye sostavlyayushchiye narusheniy sotsial’noy pertseptsii pri shizofrenii. Sotsial’naya i klinicheskaya psikhiatriya. 2012;22:4:22-26. (In Russ.).
Gard DE, Kring AM, Gard MG, Horan WP, Green MF. Anhedonia in schizophrenia: Distinctions between anticipatory and consummatory pleasure. Schizophr. Res. 2007;93:253-260. PMID:17490858 PMCID: PMC1986826 https://doi.org/10.1016/j.schres.2007.03.008
Loas G, Noisette C, Legrand A, Boyer P. Is anhedonia a specific dimension in chronic schizophrenia? Schizophr. Bull. 2000;26:2:495-506. PMID:10885646
Kremleva OV, Gel’d AL, Kruglov LS. Aleksitimicheskiye proyavleniya pri trevozhno-depressivnoy simptomatike u psikhicheski bol’nykh. Vestnik psikhotherapii.2013;46(51):60-68. ISSN 2227-6157. (In Russ.).
Kay SR, Fiszbein A, Opler LA. The positive and negative syndrome scale (PANSS) for schizophrenia. Schizophr Bull. 1987;13:261-276. PMID: 3616518
Glants S. Mediko-biologicheskaya statistika. Glava 6. Analiz zavisimostey. Koeffitsiyent rangovoy korrelyatsii Spirmena. Per. s angl. M.: Praktika, 1999;459. (In Russ.).

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